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08/10/2004 13:07 FAX 14024714429 NEBRASKA UCC <br />141003 /004 <br />200407 <br />This notice was prepared and signed at <br />the 04th day of August <br />2004. <br />Omaha, NE <br />, on this, <br />Signature j,� <br />Title Compliance Technical Support <br />�1 Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part t - RECORDING OFFICE CAT. NO 600261 <br />L <br />n <br />1872 Departm e n e Service ` <br />Form 66e (z) <br />Certificate of Release of Federal Tax Lien <br />(Rev. 10 -2000) <br />Area: <br />Serial Number <br />For Use by Recording Office <br />WAGE & INVESTMENT AREA $#5 <br />Lien Unit Phone: (651) 312 -8080 <br />390148958 <br />W +-- -+ L + -t- - ucc TM <br />I certify that the following -named taxpayer, under the requirements of section 6325 (a) <br />of the Internal Revenue Code has satisfied the taxes listed below and all statutory <br />additions. Therefore, the lien provided by Code section 6321 for these taxes and <br />additions has been released, The proper officer in the office where the notice of <br />internal revenue tax lien was filed on August 16 <br />880 346713 -2 Pal: 1 <br />2001 , is authorized to note the books to show the release of this lien for <br />HARRIS KAREN A <br />Pi led: 06/1012004 10:14 AM <br />these taxes and additions. <br />Name of Taxpayer <br />KAREN A HARRIS <br />Residence1607 HOPE ST <br />GRAND ISLAND, NE 68801 -7155 <br />COURT RECORDING INFORMATION: <br />Liber Page Serial No. <br />n/a n/a 61356 -6 .200108251 <br />Tax Period <br />Date of <br />Last Day for <br />Unpaid Balance <br />Kind of Tax <br />Ending <br />Identifying Number <br />Assessment <br />Refilling <br />of Assessment <br />(a) <br />(b1 <br />(C) <br />W <br />(e) <br />(f) <br />1040 <br />12/31/1998 <br />505 -90 -1305 <br />06/07/1999 <br />07/07/2009 <br />5859.40 <br />1040 <br />12/31/1999 <br />505 -90 -1305 <br />08/21/2000 <br />09/20/2010 <br />158.41 <br />Place of Filing <br />Register of Deeds <br />Hall POBOX 1692 Total <br />$ 6017.81 <br />Grand Island, NE 68802 -1692 <br />This notice was prepared and signed at <br />the 04th day of August <br />2004. <br />Omaha, NE <br />, on this, <br />Signature j,� <br />Title Compliance Technical Support <br />�1 Manager <br />(NOTE: Certificate of officer authorized by law to take acknowledgments is not essential to the validity of Certificate of Release of <br />Federal Tax lien Rev. Rul. 71 -466, 1971 - 2 C.B. 409) Form 668 (Z) (Rev. 10 -2000) <br />Part t - RECORDING OFFICE CAT. NO 600261 <br />L <br />